Fluid and Electrolytes May 2005

Fluid and Electrolytes May 2005 - Fluid and Electrolytes...

Info iconThis preview shows pages 1–4. Sign up to view the full content.

View Full Document Right Arrow Icon
1 Fluid and Electrolytes Pat Woodbery, NP May 23, 2005 ± Hyponatremia z Serum below 135mEq/L ± Causes z Excess sodium loss ± GI tract ± Skin ± Kidneys Water gains ± SIADH (high volume low sodium) ± Increased hypotonic IV fluids ± Treatments for Hyponatremia include: z Sodium containing fluids ± Isotonic Ringers ± NS 0.9% ± IV 3% or 5%NS z Loop Diuretics ± Decrease excess ECF (if this is a problem
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
2 ± Hypernatremia z Serum above 145mEq/L ± Causes z Loss of water ± Sweating ± Diarrhea ± Diabetes Insipidus z Excess Sodium ± IV Fluids 3% NS, 5% NS ± Treatments for Hypernatremia include: z Replace water ± D5%W ± 0.45% NS z Diuretics ± Excrete excess volume and excrete excess sodium ± Nursing Care for Sodium Irregularity ± THINK VOLUME z Monitor electrolytes z Monitor vital signs z Monitor neurological responses ± Mental Status ± Headaches z Monitor fluids for overload ± Weight ± Cardiac overload z Monitor musculoskeletal ± Cramps ± Weakness ± Tremor ± Seizures
Background image of page 2
3 ± Hypokalemia z Serum below 3.5 mEq/L ± Causes z Inadequate intake z GI Loss ± Vomiting ± Diarrhea z Renal Loss ± Diuretics ± Hyperaldosteronism (Increase ± IV Fluids 3% NS, 5% NS ± Treatment for Hypokalemia z Oral or Parenteral Potassium z Diet high in potassium z Balanced electrolyte solutions ± Pedialyte ± Sports drinks ± Hyperkalemia z Serum above 5.0 mEq/L ± Causes z Excess Potassium intake z Renal Failure z Potassium Sparing Diuretics z Aged Blood z Tissue damage= Burns (K goes out of cell) z Renal Failure
Background image of page 3

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Image of page 4
This is the end of the preview. Sign up to access the rest of the document.

Page1 / 9

Fluid and Electrolytes May 2005 - Fluid and Electrolytes...

This preview shows document pages 1 - 4. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online